$24 - $27.25/hr
... OPTUM Professional Computer Assisted Coding ("pCAC"), Patient Keeper, 3M encoder, Mosaiq, Soarian financial billing system, preferred.) * Competence with MS Office software (Word, Excel, PowerPoint ...
$24 - $27.25/hr
... OPTUM Professional Computer Assisted Coding ("pCAC"), Patient Keeper, 3M encoder, Mosaiq, Soarian financial billing system, preferred.) * Competence with MS Office software (Word, Excel, PowerPoint ...
Optum Encoder information
What is an Optum Encoder?
Optum Encoders are specialized healthcare professionals who use Optum's medical coding software to accurately translate clinical documentation into standardized medical codes. These codes are used for billing, insurance claims, and maintaining patient records. Optum Encoders play a critical role in ensuring that healthcare providers receive proper reimbursement and comply with regulatory requirements. They must be knowledgeable about medical terminology, coding guidelines, and healthcare regulations. Their work helps streamline administrative processes and improve data quality in the healthcare industry.
What are the key skills and qualifications needed to thrive as an Optum Encoder?
To excel as an Optum Encoder, you need a solid understanding of medical coding systems (such as ICD-10, CPT, and HCPCS) and typically a certification like CPC or CCS. Familiarity with Optum’s 3M Encoder software, electronic health records (EHRs), and hospital information systems is also crucial. Attention to detail, analytical thinking, and effective communication are vital soft skills for ensuring coding accuracy and collaborating with clinical and billing teams. These abilities are important to ensure precise coding, regulatory compliance, and optimal reimbursement for healthcare services.
What are some common challenges faced by Optum Encoders when working with complex medical records?
Optum Encoders often encounter challenges such as interpreting incomplete or ambiguous clinical documentation, keeping up-to-date with evolving coding standards, and ensuring high levels of accuracy under tight deadlines. Collaboration with healthcare providers and coding auditors is frequently required to clarify information and resolve discrepancies. Staying detail-oriented and proactive in seeking clarification helps maintain compliance and reduce errors, while also providing opportunities to learn and grow in the role.
What is the difference between Optum Encoder vs Medical Coder?
| Aspect | Optum Encoder | Medical Coder |
|---|---|---|
| Certifications | Typically requires coding certifications like CPC or CCS | Often requires CPC, CCS, or similar certifications |
| Work Environment | Healthcare facilities, insurance companies, remote options | Hospitals, clinics, insurance companies, remote work common |
| Industry Usage | Used mainly in healthcare and insurance sectors | Widely used across healthcare providers and insurance |
| Job Responsibilities | Encoding medical records for billing and documentation | Assigning standardized codes to medical diagnoses and procedures |
Both Optum Encoder and Medical Coder roles involve medical coding, often requiring similar certifications and working in healthcare environments. While Optum Encoder may be specific to Optum's systems and processes, Medical Coder is a broader role found across many healthcare organizations. Understanding these similarities helps in choosing the right career path or job search focus.
What are popular job titles related to Optum Encoder jobs in Texas?
For Optum Encoder jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Optum Encoder jobs in Texas look for?
The top searched job categories for Optum Encoder jobs in Texas are:
What cities in Texas are hiring for Optum Encoder jobs?
Cities in Texas with the most Optum Encoder job openings:
Job description
Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer.As the only National Cancer Institute-designated Comprehensive Cancer Center based in Florida, Moffitt employs some of the best and brightest minds from around the world. Join a dedicated team of nearly 11,000 who are shaping the future we envision. Moffitt has been recognized as a Best and Brightest Company to Work For in the Nation and is continually named one of the Tampa Bay Times' Top Workplaces.
Summary
The MID REVENUE CYCLE CODING EDUCATOR SR, serves as the subject matter expert and educational resource for any medical record coding and patient charge related issues. This position provides education and training to clinical providers, nurses and Revenue Integrity (RI) and Health Information Mangement (HIM) staff.The position is responsible for:Designing, creating and implementing educational and training curriculum to initiate new processes resulting from initiatives, coding related projects and general coding related matters driven by business needs.Creating the audit and quality reviews schedule for the fiscal year adding a contingency plan for unexpected reviews and business priorities driven by external mattersReviewing and communicating the CMS changes and their impact to RI and HIM operationsConducting monthly audits and quality reviews for providers, nurses and Revenue Integrity (RI) and Health Information Mangement (HIM) staff to identify compliance opportunities with clinical documentation and coding and charging guidelines.Leading projects aimed to review and improve the quality of the clinical documentation in the patient record and final coding for both professional and technical billing. resulting in the creation of curriculum specific to clinical services and tailor to individual stakeholders.Reviewing and approving the work completed by the Mid Revenue Cycle Coding Educators prior to distribution, implementation and educational venues update.Reviewing and approving the education and training calendar to onboard RI and HIM new team members. Position ensures the sign off of the education program as documentation for the new team member 90 days introductory period.Minimum Experience Required
- Bachelor's degree plus six (6) years health care coding experience with ICD-10-CM, ICD-10-PCS. CPT and HCPCS classification systems; inclusive of minimum two (2) years of professional practice medical coding auditing experience OR facility Outpatient coding auditing experience,
(OR)
- An Associate's degree and additional two (2) years of experience as stated above, may be considered (for a total of 8 years' experience). required.
(OR)
- A High School Diploma/GED and ten (10) years of experience as stated above, may be considered.
Minimum Licensure:
Any "one" of the following certifications is required:
- (CCS) Certified Coding Specialist
- (CPMA) Professional Certified Medical Auditor
- (CPC) Cert Professional Coder
- (COC) Certified Outpatient Coding
- (CCS-P) Certified Coding Spec-Phys
- (RHIT) Reg Health Info Technician
- (RHIA) Reg Health Info Administrator
- (CIC) Certified Inpatient Coder
any certification not listed above but issued by one of the Governing Bodies (see below) will be reviewed and considered by the business as satisfying this requirement.
Minimum Skills/Specialized Training Required
- Expert of International Classification of Diseases, Tenth Revision, Clinical Modification ("ICD-10-CM"), International Classification, Tenth Revision, Procedure Coding System ("ICD-10-PCS"), Current Procedural Terminology ("CPT"), Healthcare Common Procedure Coding System ("HCPCS"), American Hospital Association ("AHA") coding clinic guidelines, Medicare Severity Diagnosis Related Groupers ("MSDRG"), All Patient Refined Diagnosis Related Groupers ("APRDRG"), Center for Medicare & Medicaid Services ("CMS") guidelines, National Center for Healthcare Statistics ("NCHS"), Radiation Oncology Coding Guidance (Coding Strategies, American Society for Radiation Oncology ("ASTRO"), American College of Radiation Oncology ("ACRO"), American Health Information Management Association ("AHIMA") and American Academy of Professional Coders ("AAPC") code of ethics.
- Ability to communicate in a professional manner to internal and external customers.
- Thorough understanding of the effect of data quality on prospective payment, utilization, and reimbursement for multiple medical specialties.
- Excellent communication and interpersonal skills.
- Experience with automated patient care and coding systems. (Cerner Electronic Health Record, Cerner products Radnet, Surginet, OPTUM Professional Computer Assisted Coding ("pCAC"), Patient Keeper, 3M encoder, Mosaiq, Soarian financial billing system, preferred.)
- Competence with MS Office software (Word, Excel, PowerPoint, OneNote and Outlook).
- Experience with coding oncology related services.
- Experience conducting training through Zoom
Preferred Experience
Four years' experience with coding oncology related services.
Governing Body Website:
- American Health Information Mgmt Assoc (AHIMA)www.AHIMA.org
- American Academy of Professional Coders
https://www.aapc.com/certification/credential-verification.aspx
Salary Range
$77,022.40 - $117,582.40Salary ranges posted for this position represent the expected base pay range for the role. Actual compensation may vary based on location and a variety of job-related factors, including experience, skills, education, and internal equity among Team Members in similar positions.
We are committed to maintaining fair and equitable pay practices and regularly review compensation to ensure alignment across our workforce.
Moffitt Career Site
If you have the vision, passion, and dedication to contribute to our mission,then we have a place for you!
1. Equal Employment Opportunity
Moffitt Cancer Center is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, or protected veteran or disabled status. We seek candidates whose skills, and personal and professional experience, have prepared them to contribute to our commitment to diversity and excellence.
2. Reasonable Accommodation
Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment. Moffitt endeavors to make moffitt.org/careers accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact one of the Human Resources receptionists by phone at 813-745-7899 or by email atHRReceptionists@moffitt.org. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.
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